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Volume 40(4); Apr 1997
Medical Lecture Course
The Significance of Electroencephalography in Neonate and Prematurity
Heung Dong Kim
J Korean Pediatr Soc. 1997;40(4):441-452.   Published online April 15, 1997
Clinical Lecture
Revised Guideline of Immunization
Chang Hwi Kim
J Korean Pediatr Soc. 1997;40(4):453-457.   Published online April 15, 1997
Original Articles
A Study on Menarchel Age and Monthly Incidence of School Girls in Ansan
Hyung Seok Kim, Jae Yong Kim, Young Kyu Shin, Sang Hee Park, Young Chang Tockgo
J Korean Pediatr Soc. 1997;40(4):458-463.   Published online April 15, 1997
Purpose : Menarche is an important life event, making the transition from childhood to early womanhood. It is a significant physical and physiological event that adolescent girls feel sexual identity and it affects on psychological development. The onset of menstruation is considered a practical indication of sexual maturity in girls. On a population level, mean menarcheal age is considered to...
Development of Approximate Entropy of Fetal Heart Rate Varibility during Normal Pregnancy
Myung Kul Yum, Jung Hye Hwang, Moon Il Park
J Korean Pediatr Soc. 1997;40(4):464-472.   Published online April 15, 1997
Purpose : The approximate entropy of heart rate variability has recently been used as a tool in evaluating cardiovascular health and physiology and in diagnosing pertubated physiologic status, by quantifying the irregularity and the pattern of the heart rate variability. Therefore approximate entropy of the fetal heart rate variability will be used as an important tool in studying the fetal...
Plasma Fibronectin Concentration in the Premature,Fullterm Neonates and Infants
Hyun Joo Lee, Kyung Hyo Kim, Gyoung Hee Kim
J Korean Pediatr Soc. 1997;40(4):473-479.   Published online April 15, 1997
Purpose : Plasma fibronectin has important role in the inflammatory response as non-specific opsonin and host defense. Plasma fibronectin concentration is different according to age and presence of infection. We performed this study to evalulate plasma fibronectin concentration in the healthy preterm, term neonates and infants and how that correlate with gestational age and birth weight and increased CRP concentration....
Relationship between Antistreptolysin O Titer and Number of Colonies from Throat Swab Culture Plate in Group A Beta-hemolytic Streptococcal Carriers and Normal School Children
Sungho Cha
J Korean Pediatr Soc. 1997;40(4):480-488.   Published online April 15, 1997
Purpose : To know the true carrier rate and the immunologic responses(antistreptolysin O :ASO) to beta-hemolytic streptococci which obtained from normal school children with or without carrying streptococci. And to study the clinical meaning of the number of organisms found in culture. Methods : One hundred ninty-eight first grade of elementary school children were included. I obtained throat swab culture from...
Conversion Rates of Tuberculin Test according to BCG Vaccination Methods
Woo Sung Kim, Chang Hwi Kim, Dong Hwan Lee, Sang Mann Shin
J Korean Pediatr Soc. 1997;40(4):489-496.   Published online April 15, 1997
Purpose : Tuberculosis, a major public health problem, is an important cause of childhood morbidity and mortality in developing countries. To decline the tuberculosis morbidity rate, active BCG vaccination is performed worldwide. Recently percutaneous multiple puncture technique of BCG vaccination was introduced and used because of side effects of intradermal BCG vaccination such as scar, local ulceration, regional suppurative lymphadenitis....
Effect of Nebulized Steroid(Budesonide) and Parenteral Steroid(Dexamethasone) on Children with Croup
Seon Mee Ahn, Jung Ae Sohn, Chul Zoo Jung, Dong Jin Lee, Young Hwan Lee, Yong Hoon Park
J Korean Pediatr Soc. 1997;40(4):497-504.   Published online April 15, 1997
Purpose : This prospective study was conducted to evaulate the effect of nebulized steroid(budesonide) and parenteral steroid(dexamethasone) on chidren with croup. Methods : Twenty nine infants and children(6months-5years of age) admitted to hospital with croup were randomly assigned to receive either 1mg(4ml) of nebulized budesonide(17 patients) or 0.6mg/kg intramuscular injection of dexamethasone sodium phosphate(12 patients). Total croup score, heart rate...
Fixed Subaortic Stenosis in Children
Eun Jin Choi, Byung Ho Choi, Myung Chul Hyun, Sang Bum Lee
J Korean Pediatr Soc. 1997;40(4):505-511.   Published online April 15, 1997
Purpose : This study attempted to describe the Doppler and two-dimensional echocardiographic features of fixed subaortic stenosis, the de novo occurrence and progression of this lesion and to review its etiology, treatment and course. Methods : We studied 17 patients of fixed subaortic stenosis who, between Jan. 1993 and Jan. 1996, ware diagnosed by echocardiographic examination at Kyungpook National University Hospital....
Recent Trend of Increasing Proportion of Interventional Catheterization in Congenital Heart Disease
Sang Yup Lee, Mi Jung Kang, Eun Jung Bae, In Seung Park, Woo Sup Kim, Se Jung Sohn, Seong Ho Kim
J Korean Pediatr Soc. 1997;40(4):512-518.   Published online April 15, 1997
Purpose : The proportion of interventional catheterization in congenital heart disease is being increased in Korea, especially in Sejong Heart Institute, so we performed statistical analysis on the cardiac catheterization cases. Methods : Total 233 cases of congenital heart disease confirmed by cardiac catheterization at the Sejong Heart Institute between Jaunary 1995 and June 1995 were analyzed retrospectively. Results : 1) The...
Outcome after Treatment of Retinoblastoma
Hyoung Soo Choi, Ki Woong Seong, Jae Kyung Lee, Kyung Ha Yoo, Hee Young Shin, Young Suk Yu, Hyo Seop Ahn
J Korean Pediatr Soc. 1997;40(4):519-530.   Published online April 15, 1997
Purpose : Current treatment in retinoblastoma aims to save life and preserve useful vision by using combined modality therapy. This study was performed to determine the outcome after treatment of retinoblastoma. Methods : Medical records of all cases of retinoblastoma seen at Seoul National University Children's Hospital from September 1986 to April 1995 were reviewed. During this period, the treatment method...
An Electroencephalographic Study of Febrile Convulsion in Childhood
Jong Woo Shin, Chang Ok Soh, Jin Young Jeong
J Korean Pediatr Soc. 1997;40(4):531-538.   Published online April 15, 1997
Purpose : Febrile convulsion is most common neurologic disorder in childhood, which benign course but transition to epilepsy is not certain. This study was carried out to reveal the usefulness of electroencephalography of febrile convulsion in childhood. Methods : Electroencephalography (EEG) was performed on 116 children who visited the department of Pediatrics, Haesung hospital from November 1992 to December 1994 due...
A Study on Clinical Application of Harada's Scoring Method to Kawasaki Disease - Suggesting the revision of the criteria for IVGG treatment of KD in Korea -
Byoung Kil Han, Hyong Shin Lee, Hong Ryang Kil, Heon-Seok Han, Jae Ho Lee, Young Hun Chung
J Korean Pediatr Soc. 1997;40(4):539-548.   Published online April 15, 1997
Purpose : We performed a study on clinical benefits of Harada's scoring method, problems of present criteria and requirement of the revision of that criteria for intrvenos γ-globulin(IVGG) treatment of Kawasaki disease(KD) in Korea. Methods : The patients of 104 cases who visited to Department of Pediatrics of Chungnam National University Hospital and diagnosed as KD were objective group. We classified the...
Case Reports
A Case of Dietary Treatment of Vitamin B12 Non-responsive Methylmalonic Acidemia
Won Young Song, Ki Soo Kim, Han Wook Yoo
J Korean Pediatr Soc. 1997;40(4):549-554.   Published online April 15, 1997
Methylmalonic acidemia is a metabolic disorder of amino acid and fatty acid metabolism. A Female infant, who was diagnosed as methylmalonic acidemia based on findings; methylmalonic aciduria, metabolic acidosis with increased anion gap, hyperammonemia, has been followed up for 9 months. She has been placed on the planned diet according to Ross metabolic formula nutrition support protocol. The diet is...
Departments of Neurosurgery, Gyeongsang National University, College of Medicine, Chinju, Korea
Jae Young Lim, Young Kyu Park, Eun Sang Kim, Dong Wook Kim
J Korean Pediatr Soc. 1997;40(4):555-558.   Published online April 15, 1997
Spinal-cord astrocytomas are rare, comprising only 1% of all primary central nervous system tumors. Malignant astrocytomas grade III and IV account for only 7.5% of intramedullary spinal gliomas occurring in all age groups and for as few as 1.2% of primary intramedullary tumors in children. The frequency of primary intramedullary with intracranial metastasis is relatively rare in childhood and such...
A Case of Tuberculous Pneumonia in Infancy
Joon-Sung Lee, Young-Yoo Kim, Jong-Wan Kim
J Korean Pediatr Soc. 1997;40(4):559-566.   Published online April 15, 1997
A rare but serious complication of tuberculosis in a child occurs when the primary infection is progressively destructive. It is difiicult to differentiate from other bacterial pneumonias. We experienced a case of tuberculous pneumonia in a 73-days-old male who presented with cough, fever and progressive dyspnea. Chest X-ray shows diffuse pneumonic consolidation on right upper lung field, Mantoux test was positive...
One Case of Congenital Complete Atrioventricular Block Diagnosed by Fetal Echocardiography
Eun Jung Kim, Tae Hoon Kang, Hyoung Doo Lee
J Korean Pediatr Soc. 1997;40(4):567-571.   Published online April 15, 1997
Congenital complete atrioventicular block is uncommon which has a heterogenous etiology. According to recent studies, about one-third of the mothers of the patients who were diagnosed as congenital complete atrioventricular block, had symptoms or signs of connective tissue disease. Even though the outlook is usually regarded as favorable, the mortality is highest in the neonatal period, much lower during childhood...
A Case of Lymphocytic Interstitial Pneumonia
Ho Young Lee, Hwang Min Kim, Mee Kyung Namgoong, Jong Soo Kim, Soon Hee Jung, Dong Jin Kim
J Korean Pediatr Soc. 1997;40(4):572-577.   Published online April 15, 1997
Lymphoid interstitial pneumonia(LIP) is an uncommon process in childhood, and is characterized by interstitial accumulation of mature lymphocytes, plasma cells and reticuloendothelial cells. LIP is believed to have autoimmune or immunologic pathogenesis, because it is frequently associated with acquired immune deficiency syndrome, Epstein-Barr virus infection, common variable immunodeficiency. The patient described in this report had idiopathic thrombocytopenic purpura, Evans syndrome...
A Case of Congenital Acute Megakaryoblastic Leukemia with Down Syndrome
Nan Yee Kye, Kon Hee Lee, Jae Kook Cha, Hye Sun Yoon, Won Keun Song
J Korean Pediatr Soc. 1997;40(4):578-583.   Published online April 15, 1997
We experienced a case of congenital acute megakaryoblastic leukemia with Down syndrome. The patient was admitted due to characteristic facial figure of Down syndrome and abdominal distension. Acute megakaryoblastic leukemia was diagnosed with abundant megakaryoblast in peripheral blood smear, severe myelofibrosis in bone marrow biopsy and positive platelet glycoprotein Ⅲa receptor. On third hospital day, the patient expired due to DIC...
A Case of Citrullinemia
Dong Soo Park, Dong Un Kim, Sang Ook Park, Ik Jun Lee
J Korean Pediatr Soc. 1997;40(4):584-587.   Published online April 15, 1997
Citrullinemia is one of the five urea cycle defects and is caused by argininosuccinic acid synthetase deficiency ; conversion of citrulline to argininosuccinic acid is blocked. Severe hyperammonemia typically develops in the neonate within a few days and symptoms such as vomiting, lethargy, convulsion, coma follows rapidly. The diagnosis is supported by high citrulline level in serum, urine, CSF and...
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